Senior Executive

2 - 4 years

0 Lacs

Posted:1 day ago| Platform: Linkedin logo

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Work Mode

On-site

Job Type

Full Time

Job Description

Job Name

Senior Executive

Position Title

Senior Executive -

AR Analyst

Band

A2

LOB:

Denial Management – AR Analyst - RCM

Reporting To

Assistant Manager

Location/Site:

EXL India, Chennai

Overview

Review, Analyze and Manage assigned outstanding receivables portfolio by ensuring outstanding/denied claims are resolved, follow up effectively for additional information as needed with insurance companies for claims resolution, follow up with the insurance company on the outstanding/denied claims and resolve them within the timelines and defined Service Level Agreements (SLA’s), website checking and working on non-callable denials.

Qualifications

Graduation in any stream

Experience

BPO Experience : 2-4 years

US Healthcare AR Experience Preferred

Communication Skill:

Excellent written (documentation) and oral communication skills

Working Hours

40 hours per week as Full-time employeeShift time: Mid ShiftWeekends Off

Telecommuter/Internet Requirements, If Applicable

High Speed internet connection at home, must be broadbandMust understand and adhere with telecommuter policy

Skills And Abilities

  • Working on website related claims and action based on coding team responses.
  • All non-callable denials, demographic and eligibility denials need to be worked
  • Ensure Daily Productivity targets are met at the required quality level on the assigned inventory,
  • Perform timely follow up on claims to avoid revenue loss, Prioritize the pending claims for calling from the aging bucket,
  • Review claims that have not been paid by insurance companies,
  • Check insurance information provided by patient if it is insufficient or unclear,
  • Follow the guidelines and applicable rules while calling insurance companies for confidentiality and HIPAA compliance,
  • Escalate difficult collection situations to management in a timely manner, Handling patients billing queries and updating their account information,
  • Post cash and write off the contractual adjustments accordingly while working on the accounts,
  • Meeting daily/weekly and monthly targets set for an individual.

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EXL

Business Process Management / Analytics

New York

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